If you are in a  nursing home  or another qualified institution  and receive   long-term care , you should know how your   prescription  drug   coverage may be affected. Different rules will apply as to when you can switch plans and how you can access drugs. Note: During a  Part A -covered nursing home stay, prescription drugs are covered by Part A, not  Part D . The information below is only applicable to Part D coverage of drugs in a nursing home setting. Nursing homes work with specific pharmacies , thus you should choose your plan wisely. If your plan does not work with your nursing home’s pharmacy because it is out of  network  or not preferred , you may end up paying higher costs for prescriptions. If you are in a nursing home, you can switch your drug coverage outside regular  enrollment  periods.  Specifically, you  can make plan changes when; You enter a nursing home Once a month while you live in a nursing home Once during the two months after you leave a nursin